Appointment Request

Appointment Request

A beautiful and healthy smile is just one appointment away. The easiest way to schedule yours today is by completing and submitting the request form below. Once we receive your information, we will have our scheduling coordinator contact you to confirm your appointment.

Please understand that the form below is for “requesting” an appointment only. If you have an existing appointment that you need to cancel or reschedule or are dealing with an emergency, please give us a call directly. Thank you again and press the SUBMIT button at the bottom when you are done!